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Dr. P Shravan Kumar Clinic

Gastroenterologist Clinic

Near Footwear,Lingala Complex,Dilsukh Nagar, Hyderabad Hyderabad
1 Doctor · ₹350
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Dr. P Shravan Kumar Clinic Gastroenterologist Clinic Near Footwear,Lingala Complex,Dilsukh Nagar, Hyderabad Hyderabad
1 Doctor · ₹350
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Dr. P Shravan Kumar Clinic
Dr. P Shravan Kumar Clinic is known for housing experienced Gastroenterologists. Dr. P Sharvan Kumar, a well-reputed Gastroenterologist, practices in Hyderabad. Visit this medical health centre for Gastroenterologists recommended by 71 patients.

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MON-SAT
08:00 AM - 09:00 PM

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Near Footwear,Lingala Complex,Dilsukh Nagar, Hyderabad
Hyderabad, Andhra Pradesh
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Stress & Its Effects on Gastroenterology

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Stress & Its Effects on Gastroenterology

A stressful event like speaking in public, going to a job interview can give you butterflies in your stomach that may literally make you want to run to the bathroom. Stress affects every aspect of our lives including digestion. This includes indigestion, heartburn and irritable bowel syndrome. When put in a stressful situation, the body releases hormones known as corticotropin-releasing hormone or CRH. This, in turn, signals the adrenal gland to pump out adrenaline and steroids that help with the body's flight or fight response. Here are a few ways stress affects the gastrointestinal system.Here are a few ways stress affects the gastrointestinal system.

  1. Stress kills appetite: Stress eating is a real problem that results from the contradictory reactions of hormones. The hormones released by stress kill a person's appetite, but at the same time, the steroids released by these hormones make the person crave unhealthy foods like ice-cream, chocolate or potato chips. These foods aren't easy to digest and can cause indigestion, gas buildup and heart burn.
  2. Stress leads to ulcers: Ulcers are caused by bacteria, but stress strengthens the infection and disturbs the balance of hydrochloric acid and protective secretions in the stomach. This increases the risk of ulcer formation in the stomach. Once the ulcers are present in the stomach, stress can worsen the symptoms.
  3. Stress alters the gastrointestinal pathophysiology: Stress can cause changes in gastrointestinal secretions and reduce the amount of oxygen available to the digestive system. It also impairs gastroduodenal motility and amount of enzymes being secreted by the pancreas. Additionally, it interferes with the passage of food through the intestinal tract and alters colonic motility. Stress also affects the absorption of nutrients from the stomach and increases the blood flow to the digestive system by four times the normal amount thus decreasing metabolism rates.
  4. Stress affects irritable bowel syndrome: Stress in itself does not cause irritable bowel syndrome but can worsen the situation. This is because stress can make the colon contract and cause abdominal pain. These contractions are usually uncoordinated and can lead to constipation. It also makes the body more sensitive to pain thus increasing discomfort.
  5. Stress lowers immunity: A large part of the immune system is housed in the gut. Stress reduces the secretion of enzymes in the gut and leaves the digestive system vulnerable to bacterial infections. By weakening the immune system in the gut, stress also increases the risk of suffering from infections in other parts of the body.
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What is Nonalcoholic Fatty Liver Disease (NAFLD)?

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist, Jaipur
What is Nonalcoholic Fatty Liver Disease (NAFLD)?

In healthy individuals, the liver contains little or no fat. In overweight or obese people, gradual fat accumulation leads to significant liver disease. Interestingly, these individuals may be consuming minimal to no alcohol. So, alcohol, which is the main cause for liver damage, does not have a significant role to play.

The non-alcoholic fatty liver disease (NAFLD) has 4 significant stages as outlined below. It is a chronically progressive disease and may take years to reach the final stages of cirrhosis and fibrosis.

1. Simple fatty liver (steatosis): This is usually identified when diagnostic tests are done for some other suspected conditions. There are usually no symptoms obvious in this stage, other than the buildup of fat in the liver.

2. Non-alcoholic steatohepatitis (NASH): The second stage where the liver is inflamed to a greater extent due to fat accumulation.

3. Fibrosis: The next degree of inflammation where blood vessels may be narrowed leading to scarring in the liver with impaired liver functions.

4. Cirrhosis: This is the most severe stage that occurs due to years of cumulative inflammation. The liver shrinks in size, is scarred, and liver functions are markedly impaired and can also result in liver cancer.

Risk factors for NAFLD: The exact reason why a person develops NAFLD is not established, but some of the risk factors include

1. Obesity, with more weight concentrated around the abdomen

2. Type 2 diabetes

3. High blood pressure

4. High cholesterol levels

5. Age greater than 50

6. Smoking

Symptoms: This will depend on the stage in which it is identified. While there are no symptoms in the early stages, in some people there could be a dull, aching below the ribs, unexplained weight loss, weakness, and extreme tiredness. As it progresses to cirrhosis, there could be jaundice, fluid accumulation in the abdomen and feet, and itching of the skin.

Management: While there is no treatment aimed at curing the disease per se, there are ways to manage the symptoms, as noted below.

1. Weight loss: Reducing excess accumulated fat will help reverse symptoms and prevent further progression of the disease. A BMI of 18 to 26 is considered optimal.

2. Dietary changes: Modify your diet to a carbohydrates and protein rich and reduced fats and sugars. Increasing fiber through fruits and vegetables is highly recommended.

3. Exercise: Whatever your choice of workout, it will do wonders for NAFLD. Keep a target of an hour or two of moderate to intense exercise per day to reduce weight.

4. Smoking: This is another risk factor and can also help prevent other effects of NAFLD such as diabetes and heart disease.

NAFLD is highly controllable with these changes and other damages can be reversed too. If you wish to discuss about any specific problem, you can consult a gastroenterologist.

4 people found this helpful

I have liver cirrhosis being treated at ILBS Delhi. As I am doing good my liver is in stable condition. I just want to know life expectancy. I follow healthy life style wake up 5 am in the morning do moderate exercise for one hour take fruits green vegetables. Avoid oily and salty foods.

BHMS
Homeopath, Raebareli
Rajendra it's good that you have recovered from grave situation and doing well but predicting life expectancy none can provide you as in medical science we do best to treat the condition and impart good health but predicting life span is impossible for anyone being a doctor . management and proper check up from time to time is key to good health.
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My stomach is slightly heavy after every meal. Please advise me how to take care of it.

BHMS
Homeopath, Raebareli
My stomach is slightly heavy after every meal. Please advise me how to take care of it.
Take easily digestible foods and on time daily Do not skip meals Do not smoke/alcohol if taking reduce it If there is constipation that needs to be treated. Take Nux vom 30 - 4 pills twice daily for few days.
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I'm suffering from ulcerative colitis. I was diagnosed in 2011 Nov. After doing colonoscopy my doctor told that it has affected my whole colon and suggested me methylprednisolone from 36 mg and decreasing it 4 mg every 5 days and stop it. And I used Azathioprine and mesacol for 4 years. After I started using these medicines I started feeling normal but used to have inflammation sometimes and with using ornidazole for 3 days I used to become normal. In Nov 2015 after doing colonoscopy again my doctor confirmed that it has cured very well and asked me to stop using Azathioprine and continue using mesacol. Now almost after 1 and half year again y symptoms for Ulcerative colitis came back and I had to consult doctor and again after doing sigmoidoscopy it is confirmed that ulcer has started again in my colon. Again I was suggested to methylprednisolone and Azathioprine. Currently I'm under medication. Now with my experience I figured out that over masturbation has caused ulcerative colitis to me. Actual in when I was 12 or 13 I got to know something that happened in my family and it disturbed me a lot and got me into masturbation and now it is causing so many health issues for me. As mentioned earlier I used to have increased inflammation sometimes under medication too, that used to happen when ever I had done masturbation. So, I have decided I won't do it again and by end of 2015 everything was fine it got cured well. Now recently in Feb 2017 I had masturbated twice and my ulcerative colitis came back. Until then I was fine without any problem. Now my question is only masturbating twice has got me again into worse ulcerative colitis, if I have sex then will it worsen my condition? I'm 24 and my parents are started searching matches for me and I'm very confused about what to do. If having sex increases ulcerative colitis then I don't want to get into it as this may lead to colon cancer and surgery all those things. I don't want to risk my health and life. Also my ovaries functioning has decreased. I think the reason for that is also excessive masturbation. Please suggest me something on this.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
sir go for a complete detox of ur body with the help of ayurveda's Panchakarma therapy. To fight Ulcerative Colitis detoxification of the body is very much helpful. It includes Abhyangam (Massage with medicated oils) n medicated steam bath. this wud rejuvenate ur body - improving ur work efficiency and bettering ur sleep. It will also strengthen ur nerves and muscles. These procedures will take out the harmful toxins out of ur body - cleansing ur body. Also take Shirodhara which would completely take the stress out of ur body and u will feel light, fresh and full of energy. strictly avoid all junks, oily -spicy food, pickles if u r eating, drink lots of water, juices or daily have fresh fruits. try to keep ur bowel clear. it may gas-distention trouble due to indigestion. have simple bland food (Khichadi) for next few days avoiding junk, oily, spicy fried and deep-fried food items. drink lot of water. Add Jeera, Ajwain, Sonth in ur food items – these herbs prevent gas formation. Reduce intake of tea – coffee. Instead u can have green tea. dont lye-down or sit immediately after having meals. have a walk instead. maintain good bowel habits. Have more of Coconut Water, Gulkand etc to relieve acidity, Avoid too much of Cauliflower, Peas, Brinjals, Namkeens as snacks etc. Do regular walking and mild exercises. You may also do a weekly fast – just to relax and calm down ur system. Fasting also helps in cleansing of the system. for gas some herbal medicines might also help you but after proper history taking. For that u may consult me privately over Lyberate. Please update with ur valuable feedback.
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I have a fissure problem and its my exam time so how can I control my pain and solve my problem totally.

MS - General Surgery
General Surgeon, Kanpur
You need to be examined by surgeon and proctoscopy to be done by the time use ointment lox anally before defecation and ointment nitrogesic very little anally and qid and syp cremaffin 3 to 6 tsf hs keep stool soft take plenty of fluids orally.
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Whenever I eat I feel so much gas in my stomach and I feel very terrible I can't concentrate on anything. Even drinking water also cause me gas issue.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Whenever I eat I feel so much gas in my stomach and I feel very terrible I can't concentrate on anything. Even drinki...
Take Avipattikar powder 1 spoon before meal And use hingvastak For full detail consult me And do yoga.
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How to get rid of burping. Give home remedies solution and also some medicine for it.

PDDM, MHA, MBBS
General Physician, Nashik
How to get rid of burping. Give home remedies solution and also some medicine for it.
Eat and drink slowly to avoid swallowing excess air. Avoid talking when you chew. Avoid sucking on hard candy.Cut down on carbonated drinks and beer. Don't use straws. Stop smoking. If you wear dentures, get them checked to make sure they are well fitting.
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My father is a diabetic & a heart patient. Suffering from gastric problem from the morning with huge stomach ache. Any other medication instead of OMEZ powder (as not available currently). pantoprazole will do?

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
My father is a diabetic & a heart patient.
Suffering from gastric problem from the morning with huge stomach ache. An...
Give him Carbo veg 30 1-2 drops in 1/4 cup lukewarm water 4 times a day. If you wish you may contact me on my personal messenger.
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Indigestion problem Kuchh bhi Khao khana digest hi nhi hota h. Stomach tight ho jada h please solve my problem.

PDDM, MHA, MBBS
General Physician, Nashik
Indigestion problem
Kuchh bhi Khao khana digest hi nhi hota h.
Stomach tight ho jada h please solve my problem.
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I took an ayurvedic medicine jhandu pancharista ,30 ml twice a day to control gastric and acidity problems, that medicine was containing some ayurvedic anti depressant and alcohol base by11%.now after leaving I became addicted towards it and now facing withdrawal symptoms. There is ache in muscles ,tremring in brain, tiredness, dreams while sleep, fatigue and lack of memory since last few days. What to do. Will it go with time or I have to take some steps! I am also having vit b12 and vit d deficiency!

MBBS, DPM
Psychiatrist, Bangalore
I took an ayurvedic medicine jhandu pancharista ,30 ml twice a day to control gastric and acidity problems, that medi...
Dear lybrate-user, If your problems were due to Vitamin B12 and D deficiency, everything will be sorted out with 12 weeks of treatment. Wait without restarting ayurvedic medicines patiently for some more time. Whatever you are facing may be withdrawal symptoms or may be a part of the original disorder. Doctor would have given antidepressant because he would have diagnosed gastric problem is due to depression. Most of the ayurvedic medicines are alcohol based. What you are facing is NOT alcohol withdrawal.
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I am 36 years old male and from last 4 days I am having Stool with complete black colour. Feeling vomiting like sensation in morning. I have no habits of drink or smoking. Please help me what is the reason of this Black stool and what should be done to cure this. I am tensed for this.

MBBS, MD (PSM), M.F.Hom (London)
Homeopath, Nagpur
I am 36 years old male and from last 4 days I am having Stool with complete black colour. Feeling vomiting like sensa...
lybrate-user Black stool is due to the bleeding in stomach, small intestine Blood comes from distance get occult and result in black. It could be due iron suppliment or greeen leafy vegetable. Test your stool for occult blood if it is positive then consult gastroenterologit.
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I had acidity a few days before nd was not having regular motions too so d doctor gave me cremlax to have it at night for five days but now also I am not getting motions without tablet or isbagol what should I do to improve my bowel problem.

PGDHHM, MBBS
General Physician, Delhi
I had acidity a few days before nd was not having regular motions too so d doctor gave me cremlax to have it at night...
Eat 3-4 setvings of fruits .drink plenty of liquids. Eat lots of vegetables. Avoid processed foods, fatty foods, fermented foods. Avoid carbonated drinks. Avoid eating reheated foods. Hope this helps u
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I have gas trouble problem. Because of that I cannot breath properly. And feel something weight on my chest back area. How can resolve it sir.

Unani Specialist, Allahabad
I have gas trouble problem. Because of that I cannot breath properly. And feel something weight on my chest back area...
Hello Mr. T. lybrate-user, Your weight is too much according to your height. I think your all disorder to associate with you extra weight. So I have to suggest to you, reduce your weight first. And land up into proper investigation such as Cholesterol Profile, S. PRL, Thyroids Profile, Total Serum, LFT and Protein. So do that investigation and ask again. Thanks.
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Dear Sir, As our knowledge and previous check up my sister having gastric problem. And she take medicine when she feel problem. But from yesterday she had stomach pain continuously and she take Sacral suspension and rablet 20. Tablet. But still she is not recovered completely from stomach pain. So please advise the same and suggest me the best medicine at your end. Thanking you

MBBS
General Physician, Cuttack
Dear Sir, As our knowledge and previous check up my sister having gastric problem. And she take medicine when she fee...
1.Take bland diet, avoid oily, spicy,fried and junk food, 2.Drink plenty of water 3.Take one Tablet of meftal spas Ds as and when required after food up to a maximum of three tablets daily 4.Take one tablet of rantac150 mg twice daily before food 5. If you have recurrent stomach ache ,do upper GI endoscopy after consulting Gastroenterologist.
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I am suffering from acidity from 3_4 years my age is 17 I am male and my weight is 50 kg suggest me some beneficent medicines.

MBBS
General Physician, Cuttack
I am suffering from acidity from 3_4 years my age is 17 I am male and my weight is 50 kg suggest me some beneficent m...
1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2.Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4.Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation 7. Take one tablet of pan40 in the morning before breakfast daily for few days .8.Consult Gastroenterologist for further advice.
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Sir I fell abdominal tightness. And some time fell nausea. It is very irritating. please help me.

PDDM, MHA, MBBS
General Physician, Nashik
Sir I fell abdominal tightness. And some time fell nausea. It is very irritating. please help me.
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I have been infected by some kind of worm. I can see it coming in the stool it is tiny portion in few areas of stool what can I do to get rid of it. Any general purpose medicines/courses. Symptoms are: little headache in between Increased sleepiness stomach gases little itchiness around anus mostly at night.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I have been infected by some kind of worm. I can see it coming in the stool it is tiny portion in few areas of stool ...
Having worms at this age indicates a severe bunch of hygiene with which we can not be cured, also get your stool test done to identify the detail nature of infestation and patho physiology. You may starts iron supplement because this worms directly feed on the blood. You should start homoeopathy treatment earliest to get rid of this trouble permanent.
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Age is 32. Suffering from gas in stomach. Potty is not always clear. It is almost paste type and smell is foul. Please help me in treatment.

BHMS, MD - Alternate Medicine
Homeopath, Thrissur
Age is 32. Suffering from gas in stomach. Potty is not always clear. It is almost paste type and smell is foul. Pleas...
All these troubles are due to out side foods or undigested foods. A lot of people suffers these problems. Try to go for homely foods that is far better. Or prepared home foods where you get. Don" t go for hotel foods. Not only indigestion, liver metabolism gets disordered and constipation results. Always take warm cooked food. Take fiber rich foods, fruits, raw veg. Foods, etc. It helps normal defecation and your indigestion gets cured. Homoeopathiclly take Nux vom 200 tor two days, twice.in a day half an hour before food.
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